You should conduct an ultrasound of the aorta whenever you suspect abdominal aortic aneurysm (AAA) or aortic dissection.
TheUS preventative task force recommends a one-time screening for AAA in male patients between the ages of 65-75 who have ever smoked.
Male sex and advanced age (≥ 65) are considered risk factors for both AAA and aortic dissection. However, keep in mind that patients with congenital risk factors will commonly present before age 40 (Lederle, Howard).
Below is a table to keep in mind when considering Abdominal Aortic Aneurysm (AAA) or Aortic Dissection:
Abdominal Aortic Aneurysm (AAA)
Constant, intense abdominal, back, pelvic, or flank pain that may radiate to buttocks, groin, or thighs
Acute-onset, severe chest or back pain with ripping/tearing/sharp or stabbing quality